Beacon Dental Health PC
NPI #1376186528 in Wollaston, Massachusetts
Provider Information
- NPI Number
- 1376186528
- Entity Type
- Organization
- Organization Name
- Beacon Dental Health PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BEACON DENTAL HEALTH PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 21, 2019
- Last Updated
- Oct 21, 2019
Practice Location
- Address
- 628 HANCOCK ST
- City
- Wollaston
- State
- Massachusetts
- ZIP Code
- 02170-2004
- Phone
- (617) 418-6940
Authorized Official
- Name
- RISHI SHUKLA
- Title
- AUTHORIZED ADMINISTRATOR
- Phone
- (617) 418-6940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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